TEST BANK FOR
Psychiatric Mental Health Nursing 5th Edition
By Katherine M. Fortinash Msn Aprn Bc Pmhcns (Author),
Patricia A. Holoday Worret Msn Aprn Bc Pmhcns (Author)
,Table Of Contents
Chapter 01: Psychiatric Nursing: Theory, Principles, And Trends ............................................................. 3
Chapter 02: Nursing Practice In The Clinical Setting ............................................................................... 10
Chapter 03: The Nursing Process And Standards Of Practice ................................................................. 17
Chapter 04: Therapeutic Communication............................................................................................... 28
Chapter 05: Adaptation To Stress ........................................................................................................... 43
Chapter 06: Neurobiology In Mental Health And Mental Disorder ........................................................ 49
Chapter 07: Human Development Across The Life Span ........................................................................ 58
Chapter 08: Culture, Ethnicity, And Spirituality ...................................................................................... 69
Chapter 09: Legal And Ethical Aspects In Clinical Practice ..................................................................... 80
Chapter 10: Anxiety And Anxiety Disorders............................................................................................ 90
Chapter 11: Somatoform, Factitious, And Dissociative Disorders ........................................................ 103
Chapter 12: Mood Disorders: Depression, Bipolar, And Adjustment Disorders .................................. 112
Chapter 13: Schizophrenia And Other Psychotic Disorders .................................................................. 130
Chapter 14: Personality Disorders ........................................................................................................ 146
Chapter 15: Substance-Related Disorders And Addictive Behaviors .................................................... 159
Chapter 16: Cognitive Disorders: Delirium, Dementia, And Amnestic Disorders ................................. 171
Chapter 17: Disorders Of Infancy, Childhood, And Adolescence.......................................................... 183
Chapter 18: Eating Disorders: Anorexia Nervosa And Bulimia Nervosa ............................................... 194
Chapter 19: Sleep Disorders: Dyssomnias And Parasomnias ............................................................... 206
Chapter 20: Sexual Disorders: Sexual Dysfunctions And Paraphilias.................................................... 214
Chapter 21: Crisis: Theory And Intervention ........................................................................................ 222
Chapter 22: Suicide Prevention And Intervention ................................................................................ 234
Chapter 23: Violence: Anger, Abuse, And Aggression .......................................................................... 246
Chapter 24: Forensic Nursing ................................................................................................................ 260
Chapter 25: Psychopharmacology ........................................................................................................ 267
Chapter 26: Therapies: Theory And Clinical Practice ............................................................................ 281
Chapter 27: Complementary And Alternative Therapies ..................................................................... 300
Chapter 28: Grief: In Loss And Death.................................................................................................... 309
Chapter 29: Mental And Emotional Responses To Medical Illness ...................................................... 320
,Chapter 01: Psychiatric Nursing: Theory, Principles, And Trends
1. Which Understanding Is The Basis For The Nursing Actions Focused On Minimizing Mental
Health Promotion Of Families With Chronically Mentally Ill Members?
A. Family Members Are At An Increased Risk For Mental Illness.
B. The Mental Health Care System Is Not Prepared To Deal With Family Crises.
C. Family Members Are Seldom Prepared To Cope With A Chronically Ill Individual.
D. The Chronically Mentally Ill Receive Care Best When Delivered In A Formal Setting.
Answer:> A
When Families Live With A Dominant Member Who Has A Persistent And Severe Mental Disorder The
Outcomes Are Often Expressed As Family Members Who Are At Increased Riskifor Physical And Mental
Illnesses. The Remaining Options Are Not Necessarily True.
Dif: Cognitive Level: Application Ref: Page 3
2. Which Nursing Activity Shows The Nurse Actively Engaged In The Primary Prevention Ofmental
Disorders?
A. Providing A Patient, Whose Depression Is Well Managed, With Medication On Tim
B. Making Regular Follow-Up Visits To A New Mother At Risk For Post-Partum Depression
C. Providing The Family Of A Patient, Diagnosed With Depression, Information On Suicide
Prevention
D. Assisting A Patient Who Has Obsessive Compulsive Tendencies Prepare And Practice For A Job
Interview
Answer:> B
Primary Prevention Helps To Reduce The Occurrence Of Mental Disorders By Staying Involved With A
Patient. Providing Medication And Information On Existing Illnesses Are Examples Of Secondary
Prevention Which Helps To Reduce The Prevalence Of Mental Disorders. Assisting A Mentally Ill Patient
With Preparation For A Job Interview Is Tertiary Prevention Since It Involves Rehabilitation.
Dif: Cognitive Level: Application Ref: Page 4
3. Which Intervention Reflects Attention Being Focused On The Patient’s Intentions Regarding His
Diagnosis Of Severe Depression?
A. Being Placed On Suicide Precautions
, B. Encouraging Visits By His Family Members
C. Receiving A Combination Of Medications To Address His Emotional Needs
D. Being Asked To Decide Where He Will Attend His Prescribed Therapy Sessions
Answer:> D
A Primary Factor In Patient Treatment Includes Consideration Of The Patient’s Intentions Regarding His
Or Her Own Care. Patients Are Central To The Process That Determines Their Care As Their Abilities
Allow. Under The Guidance Of Pmh Nurses And Other Mental Health Personnel, Patients Are
Encouraged To Make Decisions And To Actively Engage In Their Own Treatment Plans To Meet Their
Needs. The Remaining Options Are Focused On Specificsof The Determined Plan Of Care.
Dif: Cognitive Level: Application Ref: Page 5
4. When A Patient’s Family Asks Why Their Chronically Mentally Ill Adult Child Is Being Discharged
To A Community-Based Living Facility, The Nurse Responds:
A. “It Is A Way To Meet The Need For Social Support.”
B. “It Is Too Expensive To Keep Stabilized Patients In Acute Care Settings.”
C. “This Type Of Facility Will Provide The Specialized Care That Is Needed.”
D. “Being Out In The Community Will Help Provide Hope And Purpose For Living.”
Answer:> D
Hospitalization May Be Necessary For Acute Care, But, When Patients Are Stabilized, They Move Into
Community-Based, Patient-Centered Settings Or Are Discharged Home With Continued Outpatient
Treatment In The Community. Concentrated Efforts Are Made To Reduce The Patient’s Sick Role By
Providing Opportunities For The Development Of A Purposeful Life And Instilling Hope For Each Patient’s
Future. Although Social Support Is Important, Such A Living Arrangement Is Not The Only Way To
Achieve It. Although Acute Care Is Expensive, It Is Not The Major Concern When Determining Long-Term
Care Options. Community-Based Facilities Are Not The Only Option For Specialized Care.
Dif: Cognitive Level: Application Ref: Page 5
5. What Is The Best Explanation To Offer When The Mother Of A Chronically Ill Teenage Patient
Asks, “Under What Circumstances Would He Be Considered Incompetent?”
Psychiatric Mental Health Nursing 5th Edition
By Katherine M. Fortinash Msn Aprn Bc Pmhcns (Author),
Patricia A. Holoday Worret Msn Aprn Bc Pmhcns (Author)
,Table Of Contents
Chapter 01: Psychiatric Nursing: Theory, Principles, And Trends ............................................................. 3
Chapter 02: Nursing Practice In The Clinical Setting ............................................................................... 10
Chapter 03: The Nursing Process And Standards Of Practice ................................................................. 17
Chapter 04: Therapeutic Communication............................................................................................... 28
Chapter 05: Adaptation To Stress ........................................................................................................... 43
Chapter 06: Neurobiology In Mental Health And Mental Disorder ........................................................ 49
Chapter 07: Human Development Across The Life Span ........................................................................ 58
Chapter 08: Culture, Ethnicity, And Spirituality ...................................................................................... 69
Chapter 09: Legal And Ethical Aspects In Clinical Practice ..................................................................... 80
Chapter 10: Anxiety And Anxiety Disorders............................................................................................ 90
Chapter 11: Somatoform, Factitious, And Dissociative Disorders ........................................................ 103
Chapter 12: Mood Disorders: Depression, Bipolar, And Adjustment Disorders .................................. 112
Chapter 13: Schizophrenia And Other Psychotic Disorders .................................................................. 130
Chapter 14: Personality Disorders ........................................................................................................ 146
Chapter 15: Substance-Related Disorders And Addictive Behaviors .................................................... 159
Chapter 16: Cognitive Disorders: Delirium, Dementia, And Amnestic Disorders ................................. 171
Chapter 17: Disorders Of Infancy, Childhood, And Adolescence.......................................................... 183
Chapter 18: Eating Disorders: Anorexia Nervosa And Bulimia Nervosa ............................................... 194
Chapter 19: Sleep Disorders: Dyssomnias And Parasomnias ............................................................... 206
Chapter 20: Sexual Disorders: Sexual Dysfunctions And Paraphilias.................................................... 214
Chapter 21: Crisis: Theory And Intervention ........................................................................................ 222
Chapter 22: Suicide Prevention And Intervention ................................................................................ 234
Chapter 23: Violence: Anger, Abuse, And Aggression .......................................................................... 246
Chapter 24: Forensic Nursing ................................................................................................................ 260
Chapter 25: Psychopharmacology ........................................................................................................ 267
Chapter 26: Therapies: Theory And Clinical Practice ............................................................................ 281
Chapter 27: Complementary And Alternative Therapies ..................................................................... 300
Chapter 28: Grief: In Loss And Death.................................................................................................... 309
Chapter 29: Mental And Emotional Responses To Medical Illness ...................................................... 320
,Chapter 01: Psychiatric Nursing: Theory, Principles, And Trends
1. Which Understanding Is The Basis For The Nursing Actions Focused On Minimizing Mental
Health Promotion Of Families With Chronically Mentally Ill Members?
A. Family Members Are At An Increased Risk For Mental Illness.
B. The Mental Health Care System Is Not Prepared To Deal With Family Crises.
C. Family Members Are Seldom Prepared To Cope With A Chronically Ill Individual.
D. The Chronically Mentally Ill Receive Care Best When Delivered In A Formal Setting.
Answer:> A
When Families Live With A Dominant Member Who Has A Persistent And Severe Mental Disorder The
Outcomes Are Often Expressed As Family Members Who Are At Increased Riskifor Physical And Mental
Illnesses. The Remaining Options Are Not Necessarily True.
Dif: Cognitive Level: Application Ref: Page 3
2. Which Nursing Activity Shows The Nurse Actively Engaged In The Primary Prevention Ofmental
Disorders?
A. Providing A Patient, Whose Depression Is Well Managed, With Medication On Tim
B. Making Regular Follow-Up Visits To A New Mother At Risk For Post-Partum Depression
C. Providing The Family Of A Patient, Diagnosed With Depression, Information On Suicide
Prevention
D. Assisting A Patient Who Has Obsessive Compulsive Tendencies Prepare And Practice For A Job
Interview
Answer:> B
Primary Prevention Helps To Reduce The Occurrence Of Mental Disorders By Staying Involved With A
Patient. Providing Medication And Information On Existing Illnesses Are Examples Of Secondary
Prevention Which Helps To Reduce The Prevalence Of Mental Disorders. Assisting A Mentally Ill Patient
With Preparation For A Job Interview Is Tertiary Prevention Since It Involves Rehabilitation.
Dif: Cognitive Level: Application Ref: Page 4
3. Which Intervention Reflects Attention Being Focused On The Patient’s Intentions Regarding His
Diagnosis Of Severe Depression?
A. Being Placed On Suicide Precautions
, B. Encouraging Visits By His Family Members
C. Receiving A Combination Of Medications To Address His Emotional Needs
D. Being Asked To Decide Where He Will Attend His Prescribed Therapy Sessions
Answer:> D
A Primary Factor In Patient Treatment Includes Consideration Of The Patient’s Intentions Regarding His
Or Her Own Care. Patients Are Central To The Process That Determines Their Care As Their Abilities
Allow. Under The Guidance Of Pmh Nurses And Other Mental Health Personnel, Patients Are
Encouraged To Make Decisions And To Actively Engage In Their Own Treatment Plans To Meet Their
Needs. The Remaining Options Are Focused On Specificsof The Determined Plan Of Care.
Dif: Cognitive Level: Application Ref: Page 5
4. When A Patient’s Family Asks Why Their Chronically Mentally Ill Adult Child Is Being Discharged
To A Community-Based Living Facility, The Nurse Responds:
A. “It Is A Way To Meet The Need For Social Support.”
B. “It Is Too Expensive To Keep Stabilized Patients In Acute Care Settings.”
C. “This Type Of Facility Will Provide The Specialized Care That Is Needed.”
D. “Being Out In The Community Will Help Provide Hope And Purpose For Living.”
Answer:> D
Hospitalization May Be Necessary For Acute Care, But, When Patients Are Stabilized, They Move Into
Community-Based, Patient-Centered Settings Or Are Discharged Home With Continued Outpatient
Treatment In The Community. Concentrated Efforts Are Made To Reduce The Patient’s Sick Role By
Providing Opportunities For The Development Of A Purposeful Life And Instilling Hope For Each Patient’s
Future. Although Social Support Is Important, Such A Living Arrangement Is Not The Only Way To
Achieve It. Although Acute Care Is Expensive, It Is Not The Major Concern When Determining Long-Term
Care Options. Community-Based Facilities Are Not The Only Option For Specialized Care.
Dif: Cognitive Level: Application Ref: Page 5
5. What Is The Best Explanation To Offer When The Mother Of A Chronically Ill Teenage Patient
Asks, “Under What Circumstances Would He Be Considered Incompetent?”
